IndividualActive
Glen Richardson, ATC
NPI 1285814657 · Athletic Trainer · Lebanon, KY
Provider details
- NPI number
- 1285814657
- Entity type
- Individual
- Primary specialty
- Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- No
- License
- AT501 (KY)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
320 Loretto Rd
Spring View Rehabilitation Services
Lebanon, KY 40033-1300
Phone: (270) 692-5130
Approximate (ZIP-level) locationGet directions
Mailing address
320 Loretto Rd
Lebanon, KY 40033-1300
Registry dates
- Enumerated
- 2007-11-13
- Last updated
- 2007-11-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.